Organization
LAKEWOOD AMBULATORY FOOT CEN
Active
Other names
Lakewood Ambulatory Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PAUL SMIK D.P.M. (PRESIDENT)
(216) 941-0233
Entity
Organization
Contact information
Practice address
3386 WARREN ROAD, CLEVELAND, OH 44111-0000
(216) 941-0233
(216) 941-0235
Mailing address
3386 WARREN RD, CLEVELAND, OH 44111-2031
(216) 941-0233
(216) 941-0235
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
36002511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0740336
—
OH
01
—
CL1324
RAILROAD MEDICARE
OH
Enumeration date
11/02/2007
Last updated
10/09/2019
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